MARK ALLEN JACOCKS
NPI 1730763780
Counselor - Mental Health in Chattanooga, TN

Q: What is Mark Jacocks's NPI number?

The NPI number for Mark Jacocks is 1730763780. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Q: What is Mark Jacocks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Jacocks was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 06, 2021PECOS Enrolled

7209 HAMILTON ACRES CIR, CHATTANOOGA, TN 37421(423) 499-9335(423) 499-9334 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mark Allen Jacocks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ALLEN JACOCKS (NPI 1730763780) is an individual mental health provider in Chattanooga, Tennessee, licensed in Tennessee (4879) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730763780

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMARK ALLEN JACOCKS

Location Address7209 HAMILTON ACRES CIRChattanooga, TN 37421-8623

Mailing Address7209 Hamilton Acres CirChattanooga, TN 37421-8623 · (423) 499-9335 · Fax (423) 499-9334

Phone(423) 499-9335

Fax(423) 499-9334

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 6, 2021

NPPES CertifiedMay 6, 2021

✔ NPI 1730763780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TN · 4879

Also ListedCounselorTaxonomy 101Y00000X · License 4879 (TN)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4879 (TN)

7209 HAMILTON ACRES CIR, Chattanooga, TN 37421

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Allen Jacocks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264903467

PECOS Enrollment IDI20260609001656

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mark Jacocks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Transformation Center

Same address

Professional

7209 HAMILTON ACRES CIR
Chattanooga, TN 37421

Reassigned Medicare billing, Tennessee enrollment
11 clinicians in this Medicare group

NPI 1518117597 (423) 499-9335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ASHLEY NICOLE SHARP LPC-MHSP

Counselor (Professional)